Visser Martine F, Croon-de Boer Fransien, Lonnee Edward R, Drees Ad
Ikazia Ziekenhuis, Afd. Interne Geneeskunde, Rotterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A2097.
Small-vessel vasculitis was found in a 56-year-old female patient as the first sign of Waldenström macroglobulinemia. After the diagnosis was made by immunological investigation, she was treated successfully by combination therapy with rituximab, cyclophosphamide, vincristine en prednisone. Leukocytoclastic vasculitis occurs in only 5% of patients with Waldenström macroglobulinaemia as the first manifestation of this condition.
一名56岁女性患者被发现患有小血管炎，这是华氏巨球蛋白血症的首个迹象。经免疫学检查确诊后，她接受了利妥昔单抗、环磷酰胺、长春新碱和泼尼松联合治疗，并取得成功。白细胞破碎性血管炎仅在5%的华氏巨球蛋白血症患者中作为该病的首发表现出现。
